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PUBI.IC WORKS <br /> IN�PEC7'ION REQUEST <br /> Address �(ph�l F�oii a ,Qr <br /> Contractor <br /> Owner f,'�y{f �1t-_i1r�1 <br /> Date �' Z9 -q_�_ Time _ <br /> TYPE OF INSPECTION REQUESTED �d-�! � <br /> ❑ SIDE SEWER ���m f t� �G/OQ� <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET ^ <br /> r'3s�AAX <br /> INSPECTION REQUESTED ON @ <br /> DfiTE 111.1[ <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> � LATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lisled below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appoinlment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PHIOR TO OCCUPANCY. <br /> Inspect Date - <br />